New Energy Connections

Your details

TitleOptional

First name

Last name

Email address

Contact numberOptional

Date of birth

Identification

Identification typeOptional

Identification number

Is the residential dwelling a

Property typeOptional

Existing homeNew homeHeritage listed Multiple dwelling

Connection Address

Number

Street

Suburb

Postcode

Are you the?

I'm the OwnerI'm the Builder

Billing address confirmation

Is your billing address different?

YesNo

Billing address if different from the address above

NumberOptional

StreetOptional

SuburbOptional

PostcodeOptional

Life Support Protection Information

Do you require natural gas life support protection?

YesNo

Please specify natural gas life support equipment:Optional

Billing delivery method

How would like to receive your bill?

EmailPost

Connection information

A site inspection will be done to identify the meter’s location and a diagram indicating its location will be placed in your letterbox. The distributor will endeavour to connect you within 20 business days after your application has been accepted (where the gas network is available). Do you provide Right of Way consent?

YesNo

Description of any obstructions to service pipes or environmental issues (e.g. retaining walls, underground cables, water pipes, steep banks, chemical contamination, etc)

The distributor may apply additional charges if obstructions are encounteredOptional

Gasfitter Details

Name

Contact number

License numberOptional

Appliance Details

Account Agreement

I confirm I have read and agree to

The Gas Supply Agreement, which is summarised in its Customer Charter (as provided). I also agree to abide by associated Tasmanian law. I consent to Solstice Energy providing information to Tas Gas Networks, who may contact me directly in relation to the connection process. The applicant(s) and guarantor(s) authorise Solstice Energy to disclose information contained herein to a credit reporting agency and to obtain consumer and commercial information permitted by the Privacy Act from a credit reporting agency and to use such information in order to assess this application for credit. Subject to provision of the Privacy Act, the applicant (and other parties named in this application) authorises Solstice Energy to seek and obtain information from other credit providers for approving this application or managing this account. These authorisations shall remain in force for the duration of the credit contract. I authorise Tas Gas Networks to carry out the service connection and the necessary works to the property stated in the installation information section of this application form and agree to the Tas Gas Networks Residential Connection Terms and Conditions, as stated on the rear of this application form and acknowledge and agree that the terms and conditions form part of this application I understand that a charge of $2,750 will be applied to my account if i am not consuming gas within 90 days of my meter being installedThe Privacy Policy and Credit Reporting Policy

New Connections

Ready to turn up the heat?

Important Information